EVA CAPPELLO

On Hold
Details
Basic Information
Patient Record Number: CE352814
Date of Birth: 11/15/1937
Age: 88
Sex: N/A
SSN: N/A
Medicare Number: N/A
Contact Information
Mobile Phone: (708) 456-5754
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 12/08/2023
Address Information
2526 N 74th Ave
Second Floor
Elmwood Park, IL 60707
Coordinates: 41.9263246, -87.8115119
Home Health Nurse
ESPERANZA HOME HEALTH CARE
Phone: 708-452-7612
Fax: 773-562-0755
Status: Active
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit

No wellness visit information available

Appointments
Certifications
08/15/2023 - 10/13/2023
Expired
SOC: 06/16/2023
Discharge History
View All

No discharge history

Patient Actions
Appointment History
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485 Certifications
Start Date End Date Status Type Notes Actions
08/15/2023 10/13/2023 Expired N/A SOC: 06/16/2023
Patient On Hold
Hold Reason: no poc
Hold Since: 07/03/2025
Hold Until: Indefinite